Azoospermia Treatment in Bangalore: Find the Best Doctor for Male Fertility Issues

Azoospermia Treatment options and Cost in Bangalore: Find the Best Doctor for low sperm count

Understanding Azoospermia and Its Impact on Male Fertility

Male infertility is a complex issue. One of its key causes is azoospermia.

For couples who are trying to conceive a child, the inability to produce sperm is a major barrier. We understand this is quite a hurdle for you and your partner, but do not lose hope! You must remember the journey to parenthood is not a sprint, it's a relay race! 

With the help of the best doctor for azoospermia treatment, you will overcome this hurdle on your journey to parenthood.

What Is Azoospermia?

Imagine you are on a road trip that you have wanted to take for years- a journey to fatherhood. You have made all the right turns and plans, but suddenly, you hit a roadblock! Your doctor has just diagnosed you with azoospermia, a condition where sperm are absent from your semen.

This is the moment where your doubts might start to creep in. It might feel like the end of the journey. But it's just a detour, not the end of your journey!

Today, there are several effective treatments available to you for azoospermia.  You can go for either surgical or non-surgical treatments for azoospermia. Assisted reproductive techniques (ART) such as IVF or ICSI are a popular choice for couples who have been diagnosed with azoospermia.

The road ahead may look a little different than what you pictured at the beginning. But don't worry—this is just a detour. You'll reach your destination soon.

Causes of Azoospermia (Low Sperm Count)

Azoospermia can be caused by a variety of factors, from lifestyle choices to genetic conditions.

A few of the common causes are:

●     Genetic Factors

Conditions such as Klinefelter syndrome, Y chromosome microdeletions, or cystic fibrosis can lead to azoospermia. These conditions affect your sperm production or delivery.

●     Hormonal Imbalances

Hormonal imbalances involving your hypothalamus, pituitary gland, or testes can also cause insufficient sperm production. Low levels of testosterone or other hormonal imbalances can lead to non-obstructive azoospermia.

●     Lifestyle Factors

Excessive alcohol consumption, smoking, drug use, and obesity can negatively impact your sperm production and quality.

Stress and environmental factors, such as exposure to heat and toxins, also affect your sperm production.

●     Infections and Injuries

Infections such as mumps can damage your reproductive organs, causing azoospermia. Physical injury to your testes or vas deferens can also block the flow of your sperm, leading to obstructive azoospermia.

Age Group And Percentage of Azoospermia Prevalence 

Age Group	Percentage of Azoospermia Prevalence	Common Causes
>20 years	1- 2%	●     Genetic condition (Klinefelter syndrome, Y chromosome microdeletions) ●     Hormonal imbalance ●     Congenital absence of vas deferens ●     Testicular damage ●     Infection ●     Trauma or injury
20-30 years	5-10%	●     Varicocele ●     Genetic factors ●     Absence of vas deferens ●     Infection ●     Testicular trauma or surgery ●     Hormonal imbalances ●     Lifestyle factors
30-40 years	20-30%	●     Varicocele ●     Hormonal imbalances ●     Vasectomy ●     Cystic fibrosis ●     Pituitary tumors ●     Retrograde ejaculation ●     Genetic condition ●     Testicular atrophy
40-50 years	20-30%	●     Age-related decline in sperm production ●     Chronic health conditions ●     Genetic factors ●     Hormonal imbalances ●     Varicocele ●     Environmental toxins or medications
>50 years	30-40 %	●     Natural decline in fertility function ●     Chronic health conditions ●     Hormonal imbalances ●     Structural problems ●     Infection and inflammation

Types of Azoospermia

Azoospermia is categorised into two major types.

1.    Obstructive Azoospermia

In obstructive azoospermia, your sperm production is normal; however, a blockage in your reproductive tract prevents your sperm from being ejaculated.

This can happen due to the epididymis, from a previous vasectomy, infection, or congenital conditions. Any physical blockages in your vas deferens can also lead to obstructive azoospermia.

2.    Non-Obstructive Azoospermia

Non-obstructive azoospermia occurs when your sperm production is severely impaired or absent. 

It typically happens due to problems in your testicles. Damage to your seminiferous tubules or other hormonal issues often requires a more complex treatment.

Type of Azoospermia	Reason for occurrence
Obstructive	Blockage in the reproductive tract (epididymis, vas deferens, vasectomy, infection, congenital conditions).
Non-Obstructive	Impaired sperm production (testicular damage, seminiferous tubules issues, or hormonal imbalances).

Comprehensive Guide to Diagnosis and Treatment for Azoospermia

An andrologist requires a comprehensive evaluation to diagnose you with azoospermia.

The procedure involves the following steps:

●     Medical History

The doctor will take your detailed medical history. It will include questions about injuries, surgeries, infections, medications, and your family history.

●     Physical Examination

Your doctor will assess the size, shape, and position of your testicles along with other aspects of your reproductive organs.

●     Semen Analysis

The doctor will take two semen samples from you at different times. Now, your samples will be analysed at the laboratory to determine whether sperm are present in your semen or not.

●     Hormonal Tests

Blood tests can help check testosterone levels, follicle-stimulating hormone (FSH), and luteinizing hormone (LH). These hormones play a key role in your sperm production.

●     Genetic Testing

In certain cases, genetic testing is performed to help identify any abnormalities. It also helps to detect any underlying genetic condition that might be affecting your sperm production.

After the diagnosis is made by your doctor, a tailored treatment plan will be developed that is specific to your condition.

Treatment Options for Azoospermia

If you have been diagnosed with azoospermia, do not worry! The best azoospermia treatment hospital is here to your rescue! At NU Hospitals, several azoospermia treatments might benefit you.

Surgical Azoospermia Treatment

If you are suffering from obstructive azoospermia, surgery can help restore the flow of your sperm. A few of the most common surgical procedures are:

●     Microsurgical Vasovasostomy

Microsurgical vasovasostomy is a procedure that helps to undo a vasectomy. It is a microsurgery that helps to reconnect the two ends of your vas deferens in each testicle.

Success Rate of Microsurgical Vasovasostomy

Age Group	Success Rate
<30 years	90-95%
30-39 years	85-90%
40-49 years	70-80%
>50 years	50-60%

●     Vasoepididymostomy

Vasoepididymostomy is a common microsurgical procedure to treat your epididymal block. This surgery connects your vas deferens directly to your epididymis, where there is no obstruction.

Success Rate of Vasoepididymostomy

Age Group	Success Rate
<30 years	70-85%
30-39 years	65-80%
40-49 years	50-65%
>50 years	40-50%

●     Transurethral Resection of the Ejaculatory Duct (TURED)

Ejaculatory duct blockage can be treated surgically with the help of TURED. A cystoscope will be passed through your urethra, and further, an incision will be made in your ejaculatory duct. This will help to get sperm into your semen.

This procedure is effective for 65% of the cases. However, the blockage may return in some cases.

Success Rate of Transurethral Resection of the Ejaculatory Duct (TURED)

Age Group	Success Rate
<30 years	80-90%
30-39 years	70-85%
40-49 years	60-70%
>50 years	50-60%

Cost of Azoospermia Treatment (Surgical Procedures) in India

Bangalore	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000
Delhi	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000
Mumbai	₹50,000 - ₹1,20,000	₹1,18,000 - ₹3,00,000	₹40,000 - ₹90,000	₹35,000 - ₹75,000
Chennai	₹45,000 - ₹1,10,000	₹1,50,000 - ₹2,40,000	₹45,000 - ₹85,000	₹35,000 - ₹70,000
Hyderabad	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000
Kolkata	₹35,000 - ₹90,000	₹1,20,000 - ₹2,20,000	₹30,000 - ₹70,000	₹25,000 - ₹55,000
Pune	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹65,000
Ahmedabad	₹40,000 - ₹90,000	₹1,40,000 - ₹2,40,000	₹35,000 - ₹75,000	₹30,000 - ₹60,000
Lucknow	₹35,000 - ₹80,000	₹1,20,000 - ₹2,00,000	₹30,000 - ₹70,000	₹25,000 - ₹55,000
Kochi	₹40,000 - ₹90,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000

 

Non-Surgical Azoospermia Treatment

For non-obstructive azoospermia, where sperm production is the problem, treatments involve assisted reproductive techniques(ARTs). 

●     In Vitro Fertilization (IVF)

The IVF procedure involves the fertilization of the egg outside the body. In the lab, the female eggs are introduced to the sperm. After 3 to 5 days of growth, the fertilized egg is placed back into the female partner's uterus.

It is a popular choice of treatment for azoospermia and oligospermia(low sperm count).  

●     Intracytoplasmic Sperm Injection (ICSI)

ICSI is an advancement of IVF. In ICSI, a single sperm is injected directly into the egg retrieved from your partner to facilitate fertilization.

Your andrologist may suggest ICSI if your semen quality is low and the female partner also has egg quality issues. 

Cost of Azoospermia Treatment (Non Surgical Procedures) in India

City	IVF (Cost per Cycle)	ICSI  (Cost per Cycle)
Bangalore	₹1,20,000 - ₹2,50,000	₹1,80,000 - ₹3,00,000
Delhi	₹1,50,000 - ₹2,50,000	₹2,00,000 - ₹3,00,000
Mumbai	₹1,80,000 - ₹3,00,000	₹2,20,000 - ₹3,50,000
Chennai	₹1,50,000 - ₹2,40,000	₹2,00,000 - ₹2,80,000
Hyderabad	₹1,30,000 - ₹2,50,000	₹1,80,000 - ₹2,90,000
Kolkata	₹1,00,000 - ₹2,00,000	₹1,50,000 - ₹2,50,000
Pune	₹1,40,000 - ₹2,50,000	₹1,90,000 - ₹3,00,000
Ahmedabad	₹1,20,000 - ₹2,20,000	₹1,80,000 - ₹2,80,000
Lucknow	₹1,00,000 - ₹1,80,000	₹1,50,000 - ₹2,50,000
Kochi	₹1,30,000 - ₹2,50,000	₹1,80,000 - ₹2,80,000

Common Sperm Retrieval Methods

To facilitate ART, there are several sperm retrieval techniques. The goal is to extract the best quality sperm.

A few chosen techniques are:

●     TESE (Testicular Sperm Extraction)

For TESE, a biopsy is performed to retrieve the sperm directly from your testicles.

●     MicroTESE

This is a more refined version of TESE. MicroTESE uses a microscope to locate the areas of sperm production in your testicles.

●     TESA (Testicular Sperm Aspiration)

In TESA, a needle is used to extract the sperm from your testicles.

●     PESA (Percutaneous Epididymal Sperm Aspiration)

A needle helps to withdraw your sperm from the epididymis. PESA is typically used when there is a blockage in your epididymis.

Cost of Sperm Retrieval Methods

City	TESE (Testicular Sperm Extraction)	MicroTESE	TESA (Testicular Sperm Aspiration)	PESA (Percutaneous Epididymal Sperm Aspiration)
Bangalore	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000
Delhi	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000
Mumbai	₹50,000 - ₹1,20,000	₹1,18,000 - ₹3,00,000	₹40,000 - ₹90,000	₹35,000 - ₹75,000
Chennai	₹45,000 - ₹1,10,000	₹1,50,000 - ₹2,40,000	₹45,000 - ₹85,000	₹35,000 - ₹70,000
Hyderabad	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000
Kolkata	₹35,000 - ₹90,000	₹1,20,000 - ₹2,20,000	₹30,000 - ₹70,000	₹25,000 - ₹55,000
Pune	₹40,000 - ₹1,00,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹65,000
Ahmedabad	₹40,000 - ₹90,000	₹1,40,000 - ₹2,40,000	₹35,000 - ₹75,000	₹30,000 - ₹60,000
Lucknow	₹35,000 - ₹80,000	₹1,20,000 - ₹2,00,000	₹30,000 - ₹70,000	₹25,000 - ₹55,000
Kochi	₹40,000 - ₹90,000	₹1,50,000 - ₹2,50,000	₹35,000 - ₹80,000	₹30,000 - ₹60,000

Emotional Support and Counseling for patients having azoospermia

If you have been diagnosed with azoospermia, it can be quite a challenging time for you and your partner. This is a time when both partners require each other's support to figure out a solution.

If you are struggling to communicate with your partner, you can seek professional help. Counselling, therapy, and even support groups greatly help during such times.

Lifestyle Changes That Can Improve Azoospermia

In certain azoospermia cases, lifestyle changes can help to improve the production and quality of your sperm.

Implement these lifestyle changes to improve the quality of your sperm:

●     Loose weight

If you are obese, it is suggested that you lose 5-10 kgs in 3 months. 

●     Diet

A diet that is rich in antioxidants, vitamins, and minerals is key for optimal sperm production.

●     Exercise

Regular physical activity can boost your health and your sperm quality.

●     Quit smoking and drinking

Both smoking and drinking have negative impacts on your sperm production.

●     Reduce stress

High stress levels can impact your hormone levels and sperm production. 

Make these lifestyle changes, along with following other azoospermia treatments, to improve your chances of conception.

When to See a Doctor for Azoospermia

Are you having difficulty conceiving? Are you suspecting azoospermia? Are you looking for an azoospermia treatment specialist in Bangalore? If you have answered “yes” to any of the above questions, then it is time to consult an azoospermia treatment doctor.

An andrologist will help you receive an accurate diagnosis and, accordingly, you will receive a personalized treatment plan. 

Best Doctor for Azoospermia Treatment in Bangalore

Are you looking for an azoospermia treatment specialist in Bangalore?  Dr. Pramod Krishnappa, NU Hospitals, is one of the leading andrologists in Bangalore, treating male infertility.

Dr. Pramod Krishnappa takes a personalized approach with each of his patients. He dedicates his time to uncovering the root cause of your infertility. Further, he drafts tailored treatment plans to address the specific needs of each patient, ensuring the most effective care.

Frequently Asked Question for Azoospermia

1.    How is azoospermia diagnosed?

Your doctor can diagnose azoospermia with the help of semen analysis, physical examination, hormonal tests, and genetic testing.

2.    Can azoospermia be treated without surgery?

Depending on the cause of azoospermia, non-surgical options are available.

3.    Can azoospermia be cured?

With the right treatment, one can effectively manage azoospermia. However, curing azoospermia does not always work out.

4.    How to confirm azoospermia?

Your andrologist will conduct a semen analysis to determine whether or not you have azoospermia.

5.    What are the success rates of azoospermia treatments?

The success rate of azoospermia treatments will depend upon each unique case.

6.    How can I find an azoospermia doctor near me?

If you are looking for an azoospermia doctor near you, Dr. Pramod Krishnappa, NU Hospitals, is one of the best andrologists in Bangalore.

7.    Are there any lifestyle changes that can improve azoospermia?

Yes, by maintaining a healthy diet, exercising regularly, and quitting smoking and drinking, you can severely improve your sperm quality. 

8.    How long does it take to fix azoospermia?

Depending upon each unique case, the time to treat azoospermia can vary from weeks to months. However, for certain individuals, azoospermia may not be reversible.